[Dissection of four cerebral arteries after protracted birth]

Nervenarzt. 2003 Apr;74(4):366-9. doi: 10.1007/s00115-002-1471-4.
[Article in German]


A 37-year-old woman suffered from middle cerebral artery infarction secondary to dissection of the left internal carotid artery. Nine days before, a cesarean section had been performed on her after 20 h of unsuccessful labor. Cerebral angiography at admission revealed no further vascular abnormalities. A few days later, however, the patient developed additional dissections of the right internal carotid artery and both vertebral arteries. Pregnancy, childbirth, and a history of rheumatoid arthritis in this patient may have contributed to the dissections; however, due to the unknown etiology of cervical dissections, the pathogenetic contribution of all of these factors is incompletely understood.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Aortic Dissection / diagnosis*
  • Aphasia / diagnosis
  • Arthritis, Rheumatoid / diagnosis
  • Carotid Artery, Internal, Dissection / diagnosis*
  • Cesarean Section*
  • Diagnostic Imaging
  • Female
  • Follow-Up Studies
  • Hemiplegia / diagnosis
  • Humans
  • Infarction, Middle Cerebral Artery / diagnosis
  • Intracranial Aneurysm / diagnosis*
  • Obstetric Labor Complications / diagnosis*
  • Postoperative Complications / diagnosis
  • Pregnancy
  • Puerperal Disorders / diagnosis*
  • Recurrence
  • Risk Factors
  • Vertebral Artery Dissection / diagnosis